Parent Details *

First Name

Last Name

Mobile Number *

(###)

###

####

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child Details *

First Name

Last Name

Child's Date of Birth *

MM

DD

YYYY

Would you like to redeem your $50 Service NSW Creative Kids Voucher for this activity? *

Yes (enter your Service NSW Creative Kids Voucher Code below)

No (We will contact you for alternative payment)

Which grade does your child attend at school? *

Your child must be aged between 4.5 and 18 years

Pre-school (4.5 years-old)

Kindergarten

Year 1

Year 2

Year 3

Year 4

Year 5

Year 6

Years 7-9

Years 10-12

Does your child have Asthma? *

If you select 'Yes' for this question, please email through your child's Asthma Action Plan to servet@playhouseoshc.com.au along with a current photo of them. You will also need to provide their asthma medication to staff on the day of your booking.

Yes

No

Does your child have any Allergies? *

If you select 'Yes' for this question, please email through your child's Allergy Action Plan to servet@playhouseoshc.com.au along with a current photo of them. You will also need to provide their allergy medication to staff on the day of your booking.

Yes

No

Select your Workshop *

We have a maximum of 30 places available for each workshop so please book early to avoid disappointment. If your chosen workshop becomes full, we will do our best to fit you into another workshop. Choose ONE option only:

Super Slime Workshop (Monday 15 April 2024, 3:30pm to 4:45pm) - only 10 positions remaining!

3D Pen Creations (Tuesday 16th April 2024, 3:30pm to 5:00pm) - only 8 positions remaining!

Tie-Dye Tote Bags (Friday 19th April 2024, 3:30pm to 4:45pm) - only 12 positions remaining!

Choose this option if you would like to book your child in for a Workshop in the July School Holidays 2024 (dates and times to be confirmed via email)

I understand that as part of this booking, the following terms and conditions apply *

Changes to Booking Dates If you cannot make it to your booked workshop, we will do our best to offer you an alternative workshop date if you have provided us with sufficient notice that your child will not attend. We currently require 48 hours’ notice. If you do not provide us with this notice, your payment will be forfeited. Service NSW Voucher Redemption Once our service redeems your Creative Kids Voucher, the child must either attend a workshop or the voucher funds will be forfeited. These are the terms and conditions set out by Service NSW and can be found on their website. Health and Safety Our priority is the health, safety and wellbeing of the children, staff and families using our service. By booking your child into one of our workshops, you agree that: • Unwell children will be kept at home • If a child appears unwell on drop off, staff will not be able to accept them into the workshop and will ask the parent/carer to take them home. This includes but is not limited to symptoms such as fever, cough, runny or blocked nose, fatigue, headache • If a child appears unwell during a workshop, staff will contact the child’s family to collect them as soon as possible • If possible, and our supervision requirements allow, the sick child will be kept in isolation until they are collected Signing children in and out Upon arrival to the venue, please sign your child in and out via our sign out book. Only the parent listed on this form will be able to drop off/collect children unless you have told us otherwise. If staff are unsure about your identity, we may ask to see photo ID.

I hereby declare that the information I have provided on this form is correct. I understand this booking is confirmed for the date and time I have nominated. I understand and agree to the terms as set out by the service above..